Active NPI
Tina M. Peer, N.P.
- Family Nurse Practitioner
- Twin Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-1540A
- Practice address
- 625 Pole Line Rd W Ste 2a
Twin Falls, ID 83301-4270 - Phone
- (208) 814-8740
- Fax
- (208) 814-8955
- NPI assigned
- Apr 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP1540A | ID | |
| Family Nurse Practitioner | 363LF0000X | NP-1540A | ID | Primary |
Addresses
Primary practice location
625 Pole Line Rd W Ste 2a
Twin Falls, ID 83301-4270
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice location 1
704 2nd Ave N Ste 302
Twin Falls, ID 83301-5746
Phone (208) 207-9422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 Pole Line Rd W
Twin Falls, ID 83301-4270
746 N College Rd
Twin Falls, ID 83301-3486
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Hospital & facility affiliations
- St Lukes Magic Valley Medical Center
- St Luke'S Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP1540A | ID | MD | Nurse Practitioner |
| NP-1540A | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Magic Valley Regional Medical Center LTD | Past | Accepting new patients | |
| LB Medical Consultants | Past | Accepting new patients | |
| LB Medical Consultants | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Twin Falls, ID
- NPI 1790718229
-
- Psychiatric/Mental Health Nurse Practitioner
- Twin Falls, ID
- NPI 1558109553
-
- Psychiatric/Mental Health Nurse Practitioner
- Burley, ID
- NPI 1679394308
-
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1346635463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 POLE LINE RD W STE 2A",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014270",
"telephone_number": "208-814-8740",
"fax_number": "208-814-8955"
}
],
"practiceLocations": [
{
"address_1": "704 2nd Ave N Ste 302",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833015746",
"country_code": "US",
"telephone_number": "208-207-9422",
"fax_number": "208-269-5828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEER",
"first_name": "TINA",
"middle_name": "M.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-06",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "NP1540A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP-1540A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.